Psych Flashcards
Histrionic Personality Disorder
Excessive superficial emotionality and attention-seeking
- Inappropriate sexual seductive/provocative behavior
- Considers relationships more intimate than reality
Borderline Personality Disorder
Attention-seeking
Manipulative
Self-injurious of suicidal behavior
Intense anger
Suicide
RF(strongest and others)
RF:
- STRONGEST - prior suicide attempt
- OTHER: Psych disorder, depression, single, live alone, unemployed, physical illness, family hx of suicide, access to firearms, substance abuse, impulsivity
No-suicide contracts have not been proven to be effective!!
Acute Stress vs PTSD
Acute stress:
>3 days <1month
Avoidance, intrusion, dissociation, insomnia/hypervigilance
Tx: CBT
PTSD:
>1 month
Depression
Tx duration w/ factors
late onset sx ,comp
1st episode: take anti-depressant for ~6 months. If higher risks/recurrent, continue for 1-3 years. If >3 lifetime episodes, continue indefinitely.
Late Onset >65y/o:
- Can present like cognitive impairment aka Pseudodementia (affect thinking, learning, memory & decision-making).
- Can increase risk of developing dementia.
Tx: SSRI, SNRI, Atypical antidepressants (bupropion, mirtazapine), CBT and interpersonal psychotherapy. Supportive psychotherapies not helpful as mono therapy.
Consider adjustment disorder is MDD criteria is not met
Postpartum depression vs postpartum blues
Same criteria a major depressive disorder ( >2 weeks of 5 of 9 symptoms)
Postpartum blues: milder depressive sx, peaks at 5 days but resolved within 2 weeks.
Psychosis
Substance-induced
- Cannabis-induced psychotic disorder can convert to a primary psychotic disorder in 40% of cases but can also resolve with prolonged abstinence.
- Can also occur with cocaine, amphetamines, and bath salts
Schizophrenia
Tx: Lithium or valproate (mood stabilizer)
Refractory: Add antipsychotic
